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General NPI Number Information
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NPI Number | 1093983686
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Entity Type | Organization
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Legal Business Name | DR. TIMOTHY M RUFF, MD, PLLC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1276 BRIDGETON PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-8340
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Country | US
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Telephone | 615-776-1383
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Fax |
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Provider Business Mailing Address
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Address Line | 1276 BRIDGETON PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-8340
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Country | US
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Telephone | 615-776-1383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY MARK RUFF
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Credential | MD
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Telephone | 615-776-1383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 37562
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License Number State | TN
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